Provider Demographics
NPI:1245474261
Name:DRUBIN, SAUL (D O)
Entity type:Individual
Prefix:DR
First Name:SAUL
Middle Name:
Last Name:DRUBIN
Suffix:
Gender:M
Credentials:D O
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 ANDERSON AVE
Mailing Address - Street 2:
Mailing Address - City:DEMAREST
Mailing Address - State:NJ
Mailing Address - Zip Code:07627-2310
Mailing Address - Country:US
Mailing Address - Phone:201-750-1928
Mailing Address - Fax:201-750-1928
Practice Address - Street 1:22 ANDERSON AVE
Practice Address - Street 2:
Practice Address - City:DEMAREST
Practice Address - State:NJ
Practice Address - Zip Code:07627-2310
Practice Address - Country:US
Practice Address - Phone:201-750-1928
Practice Address - Fax:201-750-1928
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-21
Last Update Date:2009-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB1932200207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine